Laserfiche WebLink
FORWARD NON-HAZARDOUS WASTE MANIFEST <br /> �+b I NCORPORATED <br /> - WASTE TREATMENT AND DISPOSAL FACILITY <br /> JOB ACCEPTANCE NO. V1. <br /> 1' GE ERATOR ': _- REQUIRED PERSONAL.PRO I.„ ENT <br /> ,�:. ,..��.. ' � TECTVE EQUIPM <br /> i n.ralf•>d g1J'j'� _^� [GLOVES ❑GOGGLES ❑RESPIRATOR [I HARD HAT <br /> MAILING ADDRESS, E TY-VEK ❑OTHER <br /> CITY`,STATE;;ZIP-_ _' -" SPECIAL HANDLING PROCEDURES: <br /> 0373—_- <br /> GONTACT`PERSON <br /> S[GNA ROF UTHURfD AGENT/ TITLE DATE _ <br /> oa 79 g <br /> WASTE-TYPE # 1'• RECEIVING FACILITY <br /> f ❑ SLUDGE <br /> 1 ❑ TREATMENT SOIL ❑ NON-FRIABLE ASBESTOS FORWARD INC. LANDFILL <br /> j • DISPOSAL SOIL ❑ WOOD <br />�. CONSTRUCTION SOIL ❑ ASH 9999 SOUTH AUSTIN ROAD <br /> • yr" � ❑ OTHER <br /> MANTECA, CALIFORNIA 95336 <br /> GENERATING FACILITY, <br /> (209) 982-4298 PHONE <br /> (209) 982- 1009 FAX <br /> NAME NOTES: '-TRUCK NUMBER , <br /> ADDRESS • '.. . _ ., C.� fS� g7d <br /> Co- Cyrgph,'cs. ,fir- � V311:67i • ' <br /> • CITY,STATE ZIP <br /> PHONE END DUMP BOTTOM'DUMP : aTRANSFER <br /> _ __..--- . �-- - , <br /> 0_. _.__ __ _, _ ❑ _ <br /> SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL=OFFS}__ FLAT=BED VAN DRUMS <br /> _ _-_ ❑ _ <br /> &2779$ <br /> FORWARD INC. LANDFILL CUBICYARDS <br /> Forward shall have no obligation to accept the waste if weather or other <br /> conditions impair the safe and effective disposal of the waste or if the waste • DISPOSAL METHOD: ' ' ,(TO BE COMPLETED-BY.fFORWAR3 <br /> impairs the safe and effective operation of the Landfill. Forward shall use } <br /> reasonable efforts to promptly notify Disposer of its inability to accept the DISPOSE BIO AERATE�STXKPILE,-,.OTHER <br /> waste for any reason. If Forward's refusal to accept.the waste is based on <br /> weather or other site conditions, Forward shall notify the Disposer when site ❑ SOIL <br /> ' conditions are expected to change such that Forward will be able to accept t <br /> the waste. ❑ SLUDGE <br /> REMARKS - , -• . _ - _ <br /> ❑ NON-FRIABLE <br /> fACILlTY:TfCKET NUMBER'S i ASBESTOS <br /> ❑ WOOD <br /> - SIGNATURE OF-AUTHQRIZED-AGENT 'DATE <br /> _ .._...__..�_..__ -._.....___ -___._,. ........�... ❑ ASH <br /> Z r7 <br /> t1, ❑ OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 4:00 P.M. THE DAY PRIOR TO EXPECTED ARRIVAL.• ANY UNSCHEDULED LOADS ARE <br /> SUBJECT TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> TO SCHEDULE CALL (209)982-4298 MANIFEST <br /> # 64755 <br /> GENERATOR COPY <br />